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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLOC, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />am per o mmg work or~ a ¢~ro' erty, o~n. :r. occu ~y._ O DE-A- PHON E: 588-790424HOURC . - - . <br /> <br />DATE: D7/25/90 TIME: <br />KLEIN, LARRY <br /> <br />;ATEGORY <br /> <br />OCCUPANCY <br /> <br />RE~I DENT IAI. <br /> <br />9813,~ 1'41EL CREEK RD <br />Aur4svI LLE OR 97325 <br /> I',IAR l ON COUNTY <br />US~ OF BUILOING: ....... <br /> <br />M^~UN~ *DD~S~: <br /> <br />FLOODPLAIN <br /> <br /> PHONE: '149-2405 SiTE NUMBER: 5084 <br /> VALUATION: <br /> <br />WIDTH: ibE~h: AREA: : UNITS: IRREG. t. OT' CORNER, <br /> ~ NO NO <br /> <br />TYPE: ON-~iTE 3EWAGE <br /> <br />PERffli'F OR APPLlCA'f[ON NO: <br /> <br />~T~'roR, NO. <br />KLEIN, LARRY <br /> <br />9025891 <br /> <br />~ATER~PPLY~ P~/ <br />T~-~T HOLE~ READY: <br />si'rE E~ALUATiON NUt~3ER: <br />EXZ~TING TANK SIZE: <br />EXISTING DRAIN FIELD LiNE~: <br />SEPTIC T~K ~MPED: <br />PRell5 NO. 8ED~= <br /> <br /> II'El~ <br />REPAIR - I~IINOR <br /> <br />~AL~NCE DUE <br /> <br /> QUANTITY AffX2UNT <br /> 1 <br /> <br />TOTAL A,.~E~$EO FEET5 $55,00 <br />PREVIOUS RECEIPTS $0.00 <br />THiS RECEIPT $55+00 <br /> <br /> $0.00 <br /> <br /> 2?420 <br /> 1756 <br /> <br /> PAYEE~. KLEIN, LARRY RECEIPT NO: <br /> RE~CEiVED BY: c] TYP£: CK CHECK :At: <br /> <br /> SEEATTACHED DOCU~IENT FOR R~IR~TS OP ~l'fE <br /> <br />~ TH[~ [8 ~T A ~tf. ~i~ ~PL[~TI~ ~T ~ ~ A R~[~ P~ ~BE THE <br />ALL N~ IN~TI~ H~ <br /> <br />RPJ,4,AR~: TANK REPLACEMENT R~3901 <br /> <br /> OFFICE COPY <br />FORM # MC 15,56 RSV, ~ <br /> <br /> <br />